The post Identification of Disabilities and Rickets Symptoms Among Population in 2 Unions and 10 Rohingya Camps of Ukhiya Upazila under Cox’s Bazar District appeared first on SARPV.

Rickets was a disorder of growing children associated with bony deformities resulting from inadequate mineralization of growing bones. It was first reported in the mid-1600s1 from Europe. Glisson described the disease as bony deformity with curving of the legs. Treatment pattern changed over decades as sunlight (UV radiation) and cod liver oil were found effective in treating rickets in 1800s, and vitamin D was identified as the essential ingredient of this oil in the early 1900s .

Vitamin D supplementation made rickets a rare disease in the industrialized countries during the 20th century . However, at the end of the last century two striking things happened: (i) nutritional rickets became a widely seen problem in North America and (ii) its higher prevalence in economically disadvantaged parts of the world where vitamin D insufficiency was uncommon .

The post National Rickets Survey in Bangladesh, 2008 appeared first on SARPV.

The bone disorder most clearly related to nutrition is rickets. It was first reported from Europe in the mid-1600s . Rickets in the growing child or adolescent develop in a variety of clinical situations and have in common an absence or delay in the mineralization of growth cartilage and in newly formed bone collagen. Glisson and others have described typical findings of bony deformity with curving of the legs in rickets, which continued to be reported during successive centuries. Re-emergence of nutritional rickets as an important and widely seen problem in the North America3,4 and secondly its higher prevalence in economically disadvantaged parts of the world where vitamin D insufficiency was uncommon5 were the two most striking things happened at the end of the last century. In United States and other western countries, rickets was most commonly seen in exclusively breastfed children with relatively darker pigmented skin.

The post Childhood Rickets in Bangladesh: Newly emerged public health challenge from the first national survey appeared first on SARPV.

Disability is to an increasing extent being addressed as an issue to be included into mainstream development rather than as a matter of separate programs and charity. This follows the recognition that people with disabilities are citizens with equal rights, who – given the opportunity – are able to contribute economically and socially to their households and communities. However, people with disabilities are often discriminated against, socially marginalized and do not have access to basic social services. As else where, the number of population, both male and female, with disability is growing in the country. The number of people with disabilities in Bangladesh is high enough to merit special attention. Based on an assessment of the available figures and estimates by WHO and World Bank for developing countries, an overall disability prevalence of about 10% of the population remains a valid working estimate. The prevalence of disabilities in children below 18 years can be estimated to 6% and for the age group above 18 years the prevalence to about 14% or corresponding to 3.4 million children with disabilities and 10.2 million adults with disabilities (Danida, 2004. Disability in Bangladesh: A Situational Analysis).

Although women with disability constitute a large proportion of our population, very little information are available about their characteristics, the constraints they face in their daily lives and the quality of life they enjoy. The government has limited program interventions in addressing issues related with disability and for the disables. In recent years, a number of organizations in the non- government sector have come up with programs and projects for the benefits of the disabled. However, organization run by the disabled dealing exclusively with disability issues is yet to emerge.

In view of the above, a study ought to be conducted to know the real situation especially of women with disability so that appropriate program, project intervention and organizational set up could be designed and launched in the future.

The post Survey Report: Women with Disabilities appeared first on SARPV.

The post SURVEY: Rickets identification in Cox’s Bazaar appeared first on SARPV.

The post BASELINE SURVEY ON CHILD – CENTERED APPROACHES TO PREVENTABLE DISABILITY (CCAPD) PROJECT appeared first on SARPV.

A mother to mother support group is a group of women. The women may be either pregnant or lactating or a mother of a child under 2. Mother-to-mother supports for breastfeeding means women helping women breastfeed their babies. Experienced breastfeeding mothers model optimal breastfeeding practices, share information, experiences and offer support to other women in an ambience of trust and respect. In this setting, pregnant women and mothers who are breastfeeding explore options that result in a satisfying breastfeeding experience.  Click For Details

The post Standard Operation procedure (SoP) of Mother to Mother Support Group Regards appeared first on SARPV.

Many children with rachitic deformities have been reported in southern coastal area of Bangladesh but the actual rate of prevalence was not known. A survey was conducted to determine the magnitude of rachitic problem among the children of Chakaria thana of Cox’s Bazar district of Bangladesh. Nine hundred children between 1-15 years selected randomly from 30 villages of total 340 villages. Face to face interview of the parents was taken and the children were examined for evidences of rickets. Serum calcium, phosphorus, alkaline phosphatase (ALP) were estimated and radiology of limbs were done in all clinically suspected cases and in a control of every eighth child. Seventy eight children (8.7%) had physical features suggestive of rickets. Fifty eight (6.4%) children had ‘clinical rickekts’ (positive physical feature(s) but normal ALP and negative radiology), 12 (1.3%) children had ‘biochemical rickets’ (positive physical features and raised ALP but negative radiology) and 8 (0.9%) children had ‘confirmed rickets’ (positive physical features, raised ALP and positive radiology). Out of 78 children with rachitic feature(s), Pectus carinatum was found as the most common clinical feature in 26 (33.3%) children followed by genu valgum in 23 (29.4%) cases. Twenty two normal children (2.2%) had raised level of ALP (>300U/L). The prevalence of rickets is high in children of Chakaria and further study is needed to find out the exact aetiology of rickets in children there.

Source: http://www.ncbi.nlm.nih.gov/pubmed/14747787

The post Rickets among children of a coastal area of Bangladesh appeared first on SARPV.

Arafat, age eight, was diagnosed with rickets when he was three-years-old and was not able to attend school. He found it hard to make friends. “My legs were always painful. I couldn’t run,” he says. “People spoke badly to me, called me a ‘lame man’.” Rickets can be prevented in this part of the world through early treatment including making calcium-rich foods a normal part of children’s diets.

The healing process

Without intervention by the local non-governmental organization Social Assistance and Rehabilitation of the Physically Vulnerable (SARPV), supported by UNICEF, Jasmeen, Arafat and many other Bangladeshi children would suffer from crippling deformities for the rest of their lives. In severe cases, if children do not receive treatment, they can lose the ability to walk.

Physiotherapist Murshedul Alam, who works for SARPV, advised Jasmeen’s mother to improve Jasmeen’s diet and give her a calcium tablet each day. Mr. Alam makes monthly home visits along with a field monitoring staff to track progress. They counsel parents and provide free calcium and health services those who are too poor to afford them. The project currently supports the families of over 800 children with rickets.
Arafat’s legs, which were less severely deformed than Jasmeen’s, have now healed. His mother added lime to rice, and had him eating more leafy vegetables and protein.

Rickets in Bangladesh

According to the National Rickets Survey conducted in 2008 with support from UNICEF and CARE, about 550,000 children between the ages of 1 and 15 have deformities caused by rickets in Bangladesh. Poor nutrition is widespread. Climate conditions and natural disasters frequently impact crop production and food security. Access to diverse and balanced diets remains a challenge, especially for poor families.

A key component of the UNICEF-supported project to reduce rickets is informational, as there is very little knowledge on a community level of the causes of rickets. Training health professionals in public health facilities is another important component of the project, as early diagnosis is critical.
“If other mothers knew how to take care of their children, their children would be cured,” says Arafat’s mother, Minari. “That is why I am sharing my experience with other families in my community.”

By Casey McCarthy
Source: http://www.unicef.org/infobycountry/bangladesh_51457.html

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

The post Preventing bone disorders through better nutrition in Bangladesh appeared first on SARPV.

Authors: S.K. Roy (skroy@icddrb.org), Rubhana Rakib, Nurul Alam, Mohammad Iqbal, Abbas Bhuiya, Mansura Khanam, Afroza Begum, Md. Fahim Hasan Ibne-e-Khair, Anik Podder, Shahidul Haque, H.K. Das, Mohosin Ali, Josephine Ippe, Tahmina Talukder, M. Chowdhury, and T.M. Alamgir Azad ICDDR,B, GPO Box 128, Dhaka 1000, Bangladesh, SARPV, 3/8, Block F, Lalmatia, Dhaka 1207, Bangladesh, CARE Bangladesh, Pragati RPR Centre (Level 12), 20-21 Kawran Bazar, Dhaka 1215, Bangladesh, UNICEF, BSL Office Complex, 1 Minto Road, Dhaka 1000, Bangladesh, 5National Nutrition Programme, Dhanmondi, Dhaka, Bangladesh,BRAC, Mohakhali, Dhaka 1212, Bangladesh, and PLANBangladesh, House CWN (B) 14, Road 35, Gulshan 2, Dhaka, Bangladesh

The post Rickets in Bangladesh: An Emerging Public-health Nutrition Crisis appeared first on SARPV.